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Updated: Jun 20, 2026

Pretargeted Radioimmunotherapy Based on the Inverse Electron Demand Diels-Alder Reaction
Published on: January 29, 2019
Intraperitoneal alpha-radioimmunotherapy in mice using different specific activities
Jörgen Elgqvist1, Håkan Andersson, Elin Haglund
1Institute of Clinical Sciences, The Sahlgrenska Academy at the University of Gothenburg, Gothenburg, Sweden. jorgen.elgqvist@gu.se
Alpha-radioimmunotherapy using 211At-MX35 F(ab')(2) showed efficacy in ovarian cancer mouse models. Lowering specific activity to 4 kBq/microg significantly reduced therapeutic effectiveness.
Area of Science:
- Oncology
- Radiochemistry
- Immunotherapy
Background:
- Ovarian cancer remains a significant health challenge, necessitating novel therapeutic strategies.
- Alpha-radioimmunotherapy offers a targeted approach to cancer treatment.
- The monoclonal antibody MX35 F(ab")(2) targets ovarian cancer cells.
Purpose of the Study:
- To evaluate the therapeutic efficacy of alpha-radioimmunotherapy for ovarian cancer in a mouse model.
- To investigate the impact of varying specific activities of 211At-MX35 F(ab")(2) on treatment outcomes.
Main Methods:
- Ovarian cancer cells (NIH:OVCAR-3) were inoculated into mice.
- Groups of mice received 211At-MX35 F(ab")(2) at different specific activities (130, 65, 32, 16, or 4 kBq/microg).
- Control groups received unlabeled MX35 F(ab")(2). Tumor and ascites presence was assessed 8 weeks post-treatment.
Main Results:
- Tumor-free fractions (TFFs) varied across specific activity groups.
- A specific activity of 4 kBq/microg resulted in a significantly lower TFF (0.17) compared to 130 kBq/microg (0.67).
- No tumor-free animals were observed in the unlabeled antibody control group.
Conclusions:
- Therapeutic efficacy of 211At-MX35 F(ab")(2) was dependent on specific activity.
- Specific activities between 130 and 16 kBq/microg did not show a significant difference in outcome.
- Lowering specific activity to 4 kBq/microg markedly reduced the therapeutic efficacy.
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